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New Hampshire rates for MS-DRG 177

Respiratory Infections And Inflammations With Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,678.13 / $20,228.04 / $35,029.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,708.77 / $24,879.75 / $32,250.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,300.17 / $22,591.95 / $33,190.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,399.23 / $18,399.23 / $32,019.72